Surah S, Kieran J, O'Dea S, Shiel C, Raffee S, Mulcahy F, Keenan E, Lyons F
The GUIDE clinic (Department of Genito-Urinary Medicine & Infectious Diseases), St James's Hospital, James's Street, Dublin 8.
Int J STD AIDS. 2013 Jul;24(7):517-21. doi: 10.1177/0956462412473885. Epub 2013 Jul 19.
The aim of the paper is to evaluate alcohol misuse among an inner city adult HIV clinic population with AUDIT (Alcohol Use Disorders Identification Test). A cross-sectional HIV outpatient clinic analysis between 28 February 2011 and 11 March 2011 was carried out. AUDIT, demographic and clinical data were collected. Univariate analysis was performed to look for the associations between variables. Backward stepwise multivariate analyses were performed on significant variables from the univariate analysis to assess for predictors of alcohol dependence. In total, 111 patients were included (60% uptake of clinic attendees); 66% were men and 26% were hepatitis C virus (HCV) co-infected. The median AUDIT score was 5 (within normal range). Thirty-four 'AUDIT positive' cases were identified: five (4.5%) indicated consumption of hazardous levels of alcohol; 21 (19%) indicated harmful levels of alcohol; and eight (7%) were likely alcohol dependent. Younger age (<40 years old) was significantly associated with AUDIT positivity (P = 0.006). On multivariate analysis younger age (P = 0.045, odds ratio 13.8) and lower level of education (P = 0.006, odds ratio 6.7) were predictive of scores indicative of alcohol dependence (AUDIT ≥20). In conclusion, younger age and lower educational levels were associated with scores consistent with alcohol dependence. AUDIT was well tolerated and easy to administer in this outpatient HIV clinic population.
本文旨在通过酒精使用障碍识别测试（AUDIT）评估市中心一家成人艾滋病诊所人群中的酒精滥用情况。于2011年2月28日至2011年3月11日对一家艾滋病门诊进行了横断面分析。收集了AUDIT、人口统计学和临床数据。进行单因素分析以寻找变量之间的关联。对单因素分析中的显著变量进行向后逐步多因素分析，以评估酒精依赖的预测因素。总共纳入了111名患者（占诊所就诊者的60%）；66%为男性，26%合并丙型肝炎病毒（HCV）感染。AUDIT评分中位数为5（在正常范围内）。确定了34例“AUDIT阳性”病例：5例（4.5%）表明酒精消费量达到危险水平；21例（19%）表明酒精消费量达到有害水平；8例（7%）可能存在酒精依赖。年龄较小（<40岁）与AUDIT阳性显著相关（P = 0.006）。多因素分析显示，年龄较小（P = 0.045，比值比13.8）和教育水平较低（P = 0.006，比值比6.7）是酒精依赖评分（AUDIT≥20）的预测因素。总之，年龄较小和教育水平较低与符合酒精依赖的评分相关。在该艾滋病门诊人群中，AUDIT耐受性良好且易于实施。
